Thomas E Jessen MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

17964 Issued in IA

Legal business name

THOMAS E JESSEN MD PC

Practice address

300 N 4TH Ave E Ste 140a
Newton, IA 50208-3122

Phone

(641) 792-2380

Fax

(641) 792-6184

NPI assigned

Jul 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Thomas Edgar Jessen, MD

Title

President

Phone

(641) 792-2380

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1740443712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E STE 140A",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083122",
            "telephone_number": "641-792-2380",
            "fax_number": "641-792-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E STE 140A",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083122",
            "telephone_number": "641-792-2380",
            "fax_number": "641-792-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E JESSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "JESSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-792-2380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "17964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063651",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Newton, IA
• Providers in Newton, IA by specialty
• Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.